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A pseudo-epidemic of septicemia among Medicare patients in Iowa.
Author(s) -
Christopher Helms
Publication year - 1987
Publication title -
american journal of public health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.284
H-Index - 264
eISSN - 1541-0048
pISSN - 0090-0036
DOI - 10.2105/ajph.77.10.1331
Subject(s) - medicine , demography , emergency medicine , gerontology , sociology
Between 1980 and 1986, Medicare discharges for DRG 416 (Septicemia Age greater than or equal to 18) increased dramatically in Iowa. The rate rose most steeply between 1983 and 1984. Relative bacteria-specific septicemia rates did not change substantially. The proportion of citing hospitals increased as did the number of citations per citing hospital. The data are best explained by increased physician-hospital reporting. A component of DRG (diagnosis related group) "creep" could not be excluded.

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